Orthopaedic Hospital Yonemori in Kagoshima City, Shonankamakura General Hospital in Kamakura, Kanagawa Prefecture and Rinku General Medical Center in Izumisano, Osaka Prefecture, were certified, according to the Japan Medical Education Foundation.

The police said they also arrested the two construction company executives -- Kaoru Okuno, 48, president of Okunogumi Kogyo, a construction company in Izumisano, Osaka Prefecture, and Takashi Kumatoriya, 50, former president of the construction company Kumatoriya Komuten in the same city.

In another development in the food scandal, meanwhile, the manager of Fujiya's factory in Izumisano, Osaka Prefecture, reportedly told prefectural investigators that the factory had shipped, with the head office's consent, cream puffs carrying expiry dates one day longer than in-house guidelines.

The Osaka prefectural police said they had initially arrested and investigated Noriko Kano from Izumisano, Osaka Prefecture, on suspicion of negligence leading to death, but changed the charge to reckless driving resulting in death as Kano had ignored a red traffic light and exceeded the speed limit.

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